Mehtab Wajiha, Singh Namrata, Malhotra Anita, Makharia Govind K
Department of Home Science, Lady Irwin College, University of Delhi, Sikandra Road, New Delhi, 110 001, India.
Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India.
Indian J Gastroenterol. 2018 Sep;37(5):392-401. doi: 10.1007/s12664-018-0895-0. Epub 2018 Oct 26.
Gluten-free diet (GFD) is the only definitive treatment for patients with celiac disease (CeD). Strict adherence to GFD improves the symptoms, nutritional deficiencies, and the overall well-being of the patients. The management of CeD is truly different and unique from the treatment of other medical or surgical diseases. While prescribing a GFD is easy, the key to the success lies in the dietary counseling by a nutrition specialist/physician and maintenance of adherence to the prescribed diet by the patient. When restricting gluten from all possible sources, it is pertinent to recommend a diet that is healthy and balanced for patients with celiac disease. Those following GFD must be counseled properly on the ways of balancing their diets and of avoiding cross contamination. They should be taught how to read food labels properly and given tips for dining out or during traveling. Regular follow up with patients is required for assessing the compliance and monitoring growth and the status of recovery. In this review article, we have compiled, for the physicians and gastroenterologists, the relevant information about GFD including counseling, adherence, nutritional adequacy, and many other related issues.
无麸质饮食（GFD）是乳糜泻（CeD）患者唯一的确定性治疗方法。严格坚持无麸质饮食可改善患者的症状、营养缺乏状况及整体健康状况。乳糜泻的管理与其他内科或外科疾病的治疗确实不同且独特。虽然开出无麸质饮食的处方很容易，但成功的关键在于营养专家/医生的饮食咨询以及患者对规定饮食的坚持。在从所有可能来源限制麸质时，为乳糜泻患者推荐健康且均衡的饮食很有必要。必须就平衡饮食和避免交叉污染的方法对遵循无麸质饮食的人进行适当指导。应教导他们如何正确阅读食品标签，并提供外出就餐或旅行期间的小贴士。需要定期对患者进行随访，以评估依从性并监测生长情况和恢复状态。在这篇综述文章中，我们为医生和胃肠病学家汇编了有关无麸质饮食的相关信息，包括咨询、依从性、营养充足性以及许多其他相关问题。
